围术期无缝隙护理干预在冠心病经皮冠状动脉介入治疗患者中的应用效果

Application effect of perioperative seamless nursing intervention in patients with coronary heart disease undergoing percutaneous coronary intervention

目的探讨围术期无缝隙护理干预在冠心病经皮冠状动脉介入治疗(PCI)患者中的应用效果。方法采用随机抽签方式将于我院接受PCI治疗的138例冠心病患者分为两组,各69例。对照组围术期接受常规护理,观察组围术期则接受无缝隙护理干预。比较两组的干预效果。结果观察组自我行为管理、准时按量服药、定期复查依从性均优于对照组(P<0.05);观察组穿刺点水泡/水肿/出血、肾功能损伤、低血压、尿潴留、假性动脉瘤、迷走神经反射发生率显著低于对照组(P<0.05);观察组术后1年内心绞痛、心衰、心律失常和冠状动脉再狭窄发生率均显著低于对照组(P<0.05)。结论无缝隙护理干预应用于PCI患者围术期可有效提高其治疗依从性,预防和减少围术期并发症及术后血管不良事件。

Objective To explore the application effect of perioperative seamless nursing intervention in patients with coronary heart disease undergoing percutaneous coronary intervention (PCI). Methods A total of 138 patients with coronary heart disease treated by PCI in our hospital were divided into two groups by random lottery method, with 69 cases in each group. The control group received routine nursing during the perioperative period, while the observation group received seamless nursing intervention during the perioperative period. The intervention effects of the two groups were compared. Results The compliance of self-behavior management, taking medicine on time and according to dosage and periodic review in the observation group were better than those in the control group (P<0.05). The incidences of blisters/edema/bleeding at puncture point, renal function damage, hypotension, urinary retention, pseudoaneurysm and vagal reflex in the observation group were significantly lower than those in the control group (P<0.05). The incidences of angina pectoris, heart failure, arrhythmia and coronary restenosis at one year after operation in the observation group were significantly lower than those in the control group (P<0.05). Conclusion Seamless nursing intervention in the perioperative period of PCI patients can effectively improve treatment compliance, prevent and reduce perioperative complications and postoperative vascular adverse events.